| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $889.25 | $889.25 | $889.25 | |
Well Sense
| Professional | $1,032.00 | $1,135.20 | $1,444.80 |
Pegaptanib Sodium Injection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $889.25 | $889.25 | $889.25 | |
Well Sense
| Professional | $1,032.00 | $1,135.20 | $1,444.80 |